摘要
目的探讨下睑缘横置切口矫正内眦赘皮术式的应用。方法2007年1月至2008年11月共为38例施行矫正术式。术中横向切开赘皮后,继沿下睑缘向外侧横行切开,皮下充分游离松解,剪除错位的眼轮匝肌纤维,内眦点定位缝合后,下睑缘切口修剪缝合。结果38例内眦赘皮形象明显改善,大部分受术者满意,术后瘢痕位于下睑缘下和重睑线处,隐蔽性好,除1例瘢痕增生外,其余愈好良好。结论下睑缘横置切口矫正内眦赘皮术式术后瘢痕隐蔽,效果可靠。
Objective To discuss a simple and effective method of medial epicanthoplasty with the subcilliary incision, which can decrease the visible scar. Methods From January of 2007 to December of 2008, 38 patients with epicanthal fold underwent epieanthoplasty using the new method. During the operation a skin incision was subcilliarily made outward from the original medial epicanthus. After elevating the flap and excising the orbieularis oculi muscle beneath the epicanthal fold, the new medial epicanthus was sutured to the designed point. Then subciliary incision was trimmed and sutured. Results Most of the patients obtained satisfactory results. Only one patient complained about visible scarring and none required revision surgery. Scarring was avoided on the noticeable medial canthal region because the only incisions needed were subciliary incisions. Conclusions This method is simple to design and easy to perform. The operative results are effective without visible scars on the medial canthal region.
出处
《中华医学美学美容杂志》
2009年第3期164-166,共3页
Chinese Journal of Medical Aesthetics and Cosmetology